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1. 发明申请

WO2019147950A1 APPARATUS AND METHOD FOR SEALING A VASCULAR PUNCTURE 审中-公开
公开(公告)号：WO2019147950A1
公开(公告)日：2019-08-01
申请号：PCT/US2019/015170
申请日：2019-01-25
申请人： ACCESS CLOSURE, INC.
发明人： JOE, Wesley, Chung , AVUTHU, Sravanthi , GUYER, Curt, D. , REPP, Richard , SCHNITZER, Martin
IPC分类号： A61B17/00
CPC分类号： A61B17/0057 , A61B2017/00367 , A61B2017/00389 , A61B2017/00623 , A61B2017/0065 , A61B2017/00654 , A61B2017/00893 , A61B2090/034
摘要： Closure devices for sealing a puncture and methods of sealing a puncture are described herein. A closure device may be used to position a sealant in a puncture. The sealant may be provided in a sheath which is retracted to expose the sealant in the puncture. A support member may be advanced to compress the sealant. The device may have a lock that prevents the support member from advancing prematurely. The lock may be unlocked when the sheath is at least partially retracted. The device may have an actuator that controls movement of the sheath and the support member. The lock may remain in a locked position until the sheath is at least partially retracted.

2. 发明申请

WO2017034859A1 ULTRASONIC SURGICAL INSTRUMENT WITH SLIDABLE FLEXING ACTIVATION MEMBER 审中-公开
标题翻译：超声波手术器具可滑动激活成员
公开(公告)号：WO2017034859A1
公开(公告)日：2017-03-02
申请号：PCT/US2016/047168
申请日：2016-08-16
申请人： ETHICON ENDO-SURGERY, LLC
发明人： DICKERSON, Benjamin D. , KIMBALL, Cory G. , MUHLENKAMP, Tylor C. , DENZINGER, Kristen G. , BAXTER, III, Chester O. , MADAN, Ashvani K.
IPC分类号： A61B17/32 , A61B18/14
CPC分类号： A61B17/320068 , A61B2017/00367 , A61B2017/00389 , A61B2017/2918 , A61B2018/00178
摘要： An ultrasonic instrument for use during a surgical procedure includes a body, a shaft assembly, an ultrasonic blade, and an actuation assembly. The body is configured to receive an ultrasonic transducer for selectively generating a first or a second predetermined oscillation. The shaft assembly projects from the body and includes an acoustic waveguide connected to the ultrasonic blade. The actuation assembly includes an activator ring and an activation mechanism. The activator ring is selectively movable along the body such that the activator ring is accessible to be gripped by an operator around an entirety of an outer circumferential surface of the activator ring. The activation mechanism is connected to the activator ring such that the activation mechanism selectively moves along the body in conjunction with the activator ring. At least a portion of the activation mechanism is configured to selectively direct the ultrasonic transducer to oscillate the ultrasonic blade.
摘要翻译：在外科手术过程中使用的超声波仪器包括主体，轴组件，超声波刀片和致动组件。身体构造成接收用于选择性地产生第一或第二预定振荡的超声换能器。轴组件从主体突出并且包括连接到超声波刀片的声波导。致动组件包括活化环和激活机构。激活器环可选择性地沿主体移动，使得激活环可被操作者围绕活化器环的整个外周表面夹持。激活机构连接到激活环，使得激活机构与激活环一起选择性地沿身体移动。激活机构的至少一部分被配置为选择性地引导超声波换能器来振荡超声波叶片。

3. 发明申请

WO2017019353A1 SURGICAL INSTRUMENT COMPRISING SEPARATE TISSUE SECURING AND TISSUE CUTTING SYSTEMS 审中-公开
标题翻译：包含独立组织安全和组织切割系统的手术仪器
公开(公告)号：WO2017019353A1
公开(公告)日：2017-02-02
申请号：PCT/US2016/042746
申请日：2016-07-18
申请人： ETHICON ENDO-SURGERY, LLC
发明人： NALAGATLA, Anil K. , PATEL, Sudhir B. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/068 , A61B17/072 , A61B2017/00115 , A61B2017/00367 , A61B2017/00389 , A61B2017/00398 , A61B2090/034 , A61B2090/0811
摘要： A surgical instrument is disclosed which comprises a staple firing system and a tissue cutting system. In various instances, the instrument is configured to prevent the tissue cutting system from being operated before the staple firing system has been fully actuated. In certain instances, the instrument is configured to prevent the tissue cutting system from being operated before the staple firing system has been actuated to sufficiently deform the staples.
摘要翻译：公开了一种外科器械，其包括切割射出系统和组织切割系统。在各种情况下，该仪器被配置成防止组织切割系统在完全启动订书钉之前被操作。在某些情况下，该仪器构造成防止组织切割系统在已经致动订书钉点火系统以使订书钉充分变形之前被操作。

4. 发明申请

WO2016186116A1 医療用マニピュレータシステム审中-公开
标题翻译：医疗操纵系统
公开(公告)号：WO2016186116A1
公开(公告)日：2016-11-24
申请号：PCT/JP2016/064645
申请日：2016-05-17
申请人：オリンパス株式会社
发明人：芝崎　尊己 , 岸　宏亮
IPC分类号： A61B34/37 , B25J3/00
CPC分类号： A61B34/70 , A61B34/37 , A61B34/71 , A61B90/90 , A61B2017/00221 , A61B2017/00225 , A61B2017/00389 , A61B2034/301 , A61B2090/0803 , A61B2090/0807 , G06F19/00
摘要：操作者の技量にかかわらず処置の効率を向上する。患者に作用する処置部と該処置部を駆動する駆動部とを備えるマニピュレータ（３）と、操作者により操作され、マニピュレータ（３）の動作指令を入力する操作入力部（２）と、入力された動作指令に基づいて駆動部を制御する制御部（４）と、操作者の識別情報を入力する識別情報入力部（５）と、操作入力部（２）においてなされた操作者による操作の履歴情報を、識別情報入力部（５）により入力された操作者の識別情報に対応づけて記憶する履歴情報記憶部（６）とを備え、制御部（４）が、識別情報入力部（５）に入力された識別情報に対応して履歴情報記憶部（６）に記憶されている履歴情報に基づいて推定される操作者の技量が高いほどマニピュレータ（３）の最大動作速度を高くし、かつ／または、マニピュレータ（３）の動作範囲を広げるように制御する医療用マニピュレータシステム（１）を提供する。
摘要翻译：无论操作者的技术如何，本发明提高了治疗效率。提供了一种医疗机械手系统（1），其具有：设置有与病人相互作用的治疗部的操纵器（3）和驱动治疗部的驱动部; 操作输入单元（2），由操作者操作并且输入用于操纵器（3）的运动指令; 控制单元，其基于所输入的运动指令来控制所述驱动部; 识别信息输入单元（5），其中输入了操作者的识别信息; 以及历史信息存储单元（6），其与通过识别信息输入单元（5）输入的操作者的识别信息相关联地存储操作者对操作输入单元（2）执行的操作的历史信息，其特征在于，所述控制部（4）进行用于进一步增大所述操纵器（3）的最大运动速度和/或进一步扩大所述操纵器（3）的运动范围的控制，与输入到识别信息输入单元（5）的识别信息相关联地存储在历史信息存储单元（6）中的信息较高。

5. 发明申请

WO2012166817A2 SURGICAL INSTRUMENT WITH SINGLE DRIVE INPUT FOR TWO END EFFECTOR MECHANISMS 审中-公开
标题翻译：具有单向驱动输入的双端效应机构的外科仪器
公开(公告)号：WO2012166817A2
公开(公告)日：2012-12-06
申请号：PCT/US2012/040037
申请日：2012-05-30
申请人： INTUITIVE SURGICAL OPERATIONS, INC. , BRISSON, Gabriel , LOH, Alan , KERVER, Lawrence
发明人： BRISSON, Gabriel , LOH, Alan , KERVER, Lawrence
IPC分类号： A61B17/295
CPC分类号： A61B17/295 , A61B17/285 , A61B17/320016 , A61B34/30 , A61B2017/00389 , A61B2017/2915 , A61B2017/2936 , A61B2018/1455
摘要： Methods for treating tissue, and surgical assemblies and related methods are disclosed in which a single input is used to sequentially articulate two members. A surgical assembly includes an end effector, a base supporting the end effector, an input link movable relative to the base through a range of motion between a first configuration and a second configuration, and an actuation mechanism. The end effector includes a first articulated member and a second articulated member. The actuation mechanism drivingly couples the input link to the first articulated member within a first portion of the range of motion and drivingly coupling the input link with the second articulated member within a second portion of the range of motion so that a movement of the input link from the first configuration to the second configuration articulates the first articulated member and then articulates the second articulated member.
摘要翻译：公开了用于治疗组织的方法和手术组件及相关方法，其中单个输入用于顺序地关联两个构件。手术组件包括端部执行器，支撑端部执行器的基座，通过第一构造和第二构造之间的运动范围相对于基座可移动的输入连杆以及致动机构。末端执行器包括第一铰接构件和第二铰接构件。所述致动机构在所述运动范围的第一部分内将所述输入连杆驱动地连接到所述第一铰接构件，并且在所述运动范围的第二部分内将所述输入连杆与所述第二铰接构件驱动地联接，使得所述输入连杆从第一构造到第二构造将第一铰接构件铰接，然后铰接第二铰接构件。

6. 发明申请

WO2011025857A1 TWO -STAGE SWITCH FOR CORDLESS HAND-HELD ULTRASONIC CAUTERY CUTTING DEVICE 审中-公开
标题翻译：无缝手持式超声波切割装置的两级开关
公开(公告)号：WO2011025857A1
公开(公告)日：2011-03-03
申请号：PCT/US2010/046749
申请日：2010-08-26
申请人： SYNTHEON, LLC , PALMER, Matthew, A. , SMITH, Kevin, W. , BALES, Thomas, O., Jr. , DEVILLE, Derek, Dee
发明人： PALMER, Matthew, A. , SMITH, Kevin, W. , BALES, Thomas, O., Jr. , DEVILLE, Derek, Dee
IPC分类号： H01H5/00
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00367 , A61B2017/00389 , A61B2017/00734
摘要： An ultrasonic, self-powered surgical device includes a handle, a self-contained power supply associated with the handle, and a control circuit disposed within the handle and/or the power supply. The control circuit is operable to carry out at least two operational conditions of the surgical device. A two-stage switch is electrically connected to the control circuit and effects the at least two operational conditions of the surgical device. A first stage of the switch effects a first of the at least two operational conditions and a second stage of the switch effects a second of the at least two operational conditions that is different from the first operational condition.
摘要翻译：超声波自动手术装置包括手柄，与手柄相关联的独立电源以及设置在手柄和/或电源内的控制电路。控制电路可操作以执行外科装置的至少两个操作条件。两级开关电连接到控制电路并且实现手术装置的至少两个操作条件。开关的第一阶段影响至少两个操作条件中的第一阶段，并且开关的第二阶段影响与第一操作条件不同的至少两个操作条件中的第二阶段。

7. 发明申请

WO2006055385A2 HEATLESS BLOOD VESSEL HARVESTING DEVICE 审中-公开
标题翻译：无缝血管收集装置
公开(公告)号：WO2006055385A2
公开(公告)日：2006-05-26
申请号：PCT/US2005/040733
申请日：2005-11-10
申请人： GENOVESI, Mark, H.
发明人： GENOVESI, Mark, H.
IPC分类号： A61D1/02
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/068 , A61B17/122 , A61B17/1222 , A61B17/1227 , A61B17/1285 , A61B18/24 , A61B2017/00389 , A61B2017/00424 , A61B2017/00778 , A61B2017/00867 , A61B2017/00907 , A61B2017/00969 , A61B2090/306 , A61B2090/3614
摘要： A method and device are disclosed directed at harvesting of vessels, such as arteries and veins, especially as required in vessel grafting procedures. The device and method discloses a cannula-like device that provides, identification, capture, manipulation, hemostasis and cleavage of branch vessels from the harvested vessel without need for further devices. In certain preferred embodiments of the disclosed method and device, the disclosed harvesting device achieves branch vessel cleavage and hemostasis without the use of heat producing means such as cautery. In addition, certain embodiments utilize a clip/coil magazine technology so as to enable severance and hemostasis of multiple branch vessels without need for removal of the device from the surgical site. Further embodiments disclose the incorporation and use of irrigants containing CO2, as well as other agents capable of stimulate release of nitric oxide from vascular endothelium are applied to subject vessels so as to enhance the viability of vessels to be harvested as graft material.
摘要翻译：公开了一种方法和装置，其用于收集血管，如动脉和静脉，特别是根据血管移植手术中的要求。该装置和方法公开了一种套管状装置，其从收获的容器中提供，鉴定，捕获，操纵，止血和切割分支血管，而不需要进一步的装置。在所公开的方法和装置的某些优选实施方案中，所公开的收获装置在不使用诸如烧灼之类的发热装置的情况下实现分支血管切割和止血。此外，某些实施例利用夹子/线圈仓库技术，以便能够使多个分支血管的切断和止血无需从手术部位移除装置。进一步的实施方案公开了将包含CO 2的冲洗剂以及能够刺激一氧化氮从血管内皮释放的其它试剂的掺入和使用被施用于受试血管，以便增强作为移植材料收获的血管的活力。

8. 发明申请

WO2017112467A2 ULTRASONIC SURGICAL INSTRUMENT WITH BLADE REPLACEMENT FEATURES 审中-公开
标题翻译：带刀片更换特性的超声波手术器械
公开(公告)号：WO2017112467A2
公开(公告)日：2017-06-29
申请号：PCT/US2016/066451
申请日：2016-12-14
申请人： ETHICON ENDO-SURGERY, LLC
发明人： HIBNER, John, A. , SMITH, Richard, C. , CORBETT, Catherine, A. , FALLER, Craig, N. , WITT, David, A.
CPC分类号： A61B17/320092 , A61B2017/00389 , A61B2017/0042 , A61B2017/00455 , A61B2017/00477 , A61B2017/00526 , A61B2017/2926 , A61B2017/2931 , A61B2017/2947 , A61B2018/00589 , A61B2018/00619 , A61B2018/0063 , A61B2090/0808 , A61B2090/0811 , A61B2090/0813 , A61N7/02 , A61N2007/0056
摘要： An apparatus includes a shaft assembly and an end effector. The shaft assembly includes a first coupling member and a second coupling member. The first coupling member and the second coupling member are configured to flex toward each other from a first position to a second position. The first coupling member and the second coupling member define a pivot axis in the first position. The end effector includes an ultrasonic blade and a clamp arm. The clamp arm is configured to couple or decouple with the shaft assembly when the first coupling member and the second coupling member are in the second position. The clamp arm is configured to pivot toward and away the ultrasonic blade about the pivot axis when the first coupling member and the second coupling member are in the first position.
摘要翻译：装置包括轴组件和端部执行器。轴组件包括第一联接构件和第二联接构件。第一联接构件和第二联接构件构造成从第一位置朝向第二位置朝向彼此弯曲。第一联接构件和第二联接构件在第一位置限定枢转轴线。末端执行器包括超声刀和夹臂。夹紧臂构造成当第一联接构件和第二联接构件处于第二位置时与轴组件联接或分离。夹持臂构造成当第一联接构件和第二联接构件处于第一位置时朝向和远离超声刀片绕枢转轴线枢转。

9. 发明申请

WO2017106238A1 SURGICAL INSTRUMENT WITH MULTI-FUNCTIONING TRIGGER 审中-公开
标题翻译：具有多功能触发的外科手术仪器
公开(公告)号：WO2017106238A1
公开(公告)日：2017-06-22
申请号：PCT/US2016/066468
申请日：2016-12-14
申请人： ETHICON ENDO-SURGERY, LLC
发明人： SCHEIB, Charles J. , BOYD, Benjamin M. , RIESTENBERG, Paul F. , FALLER, Craig N. , HAMILTON, Allison , SWINDON, Patrick J. , CHERMSIDE-SCABBO, Christopher J. , HOUSER, Kevin L. , CAGLE, David J. , STROBL, Geoffrey S. , DANZIGER, Benjamin J. , NOBIS, Rudolph H.
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00039 , A61B2017/00137 , A61B2017/00181 , A61B2017/00367 , A61B2017/00389 , A61B2017/00411 , A61B2017/0042 , A61B2018/00595 , A61B2018/00619 , A61B2018/0063 , A61N7/02 , A61N2007/0056
摘要： A surgical instrument includes an end effector and a handle assembly. The end effector is configured to operate at a first energy level and at a second energy level. The end effector is further configured to transition between an open position and a closed position. The end effector is configured to grasp tissue in the closed position. The handle assembly includes a body, a trigger, and an activation element. The trigger is configured to pivot in a first direction relative to the body to actuate the end effector from the open position to the closed position. The activation element is configured to activate the end effector at either the first energy level or the second energy level. The trigger is configured to either activate the activation element or determine whether the end effector operates at the first energy level or the second energy level.
摘要翻译：手术器械包括末端执行器和手柄组件。末端执行器被配置为以第一能量水平和第二能量水平运行。末端执行器进一步构造成在打开位置和关闭位置之间转换。末端执行器被构造成抓住处于关闭位置的组织。手柄组件包括主体，触发器和激活元件。触发器构造成相对于本体在第一方向上枢转以致使端部执行器从打开位置致动到闭合位置。激活元件被配置成以第一能量水平或第二能量水平激活末端执行器。触发器被配置为激活激活元件或确定末端执行器是以第一能级还是第二能级运行。

10. 发明申请

WO2017100423A2 END EFFECTOR FOR INSTRUMENT WITH ULTRASONIC AND ELECTROSURGICAL FEATURES 审中-公开
标题翻译：超声波和电外科器械的末端执行器
公开(公告)号：WO2017100423A2
公开(公告)日：2017-06-15
申请号：PCT/US2016/065570
申请日：2016-12-08
申请人： ETHICON ENDO-SURGERY, LLC
发明人： JOHNSON, Gregory W. , LESKO, Jason R. , ESTERA, Frederick L. , KRUMM (PORTER), Amy M. , CORBETT, Catherine A. , WEISENBURGH, II, William B. , WORRELL, Barry C. , DAVISON, Mark A. , BOUDREAUX, Chad P. , HIBNER, John A. , ISOSAKI, Joseph , WAN, Shan , OTREMBIAK, Candice , WIENER, Eitan T. , MESSERLY, Jeffrey D. , MILLER, Matthew C.
IPC分类号： A61B18/14
CPC分类号： A61B17/320092 , A61B18/1206 , A61B18/1445 , A61B18/1492 , A61B2017/00389 , A61B2018/00077 , A61B2018/00083 , A61B2018/00404 , A61B2018/00595 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/00791 , A61B2018/00922 , A61B2018/00994 , A61B2018/126 , A61B2018/142 , A61B2018/1455
摘要： An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a clamp pad and an electrode. The clamp pad is configured to compress tissue against the ultrasonic blade. The clamp pad has a proximal end, a distal end, and a pair of lateral sides extending from the proximal end to the distal end. The electrode is operable to apply RF energy to tissue. The electrode extends along both lateral sides of the clamp pad. The electrode further extends around the distal end of the clamp pad.
摘要翻译：一种装置包括主体，轴组件和末端执行器。末端执行器包括超声刀和夹臂组件。超声刀片与轴组件的声波导声学连通。夹臂组件可朝向和远离超声刀片枢转。夹臂组件包括夹持垫和电极。夹垫构造成将组织压靠在超声刀上。夹持垫具有近端，远端和从近端延伸到远端的一对横向侧。电极可操作以将RF能量施加到组织。电极沿着夹持垫的两个侧面延伸。电极进一步围绕夹持垫的远端延伸。

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